Individual provider Active NPI

Marlene Ramnanan-Jaikaran

  • Family Nurse Practitioner
  • Mount Vernon, NY
National Provider Identifier
1255056396
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F350338-01 Issued in NY
Practice address
230 Magnolia Ave
Mount Vernon, NY 10552-3704
Phone
(718) 938-3644
NPI assigned
Oct 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F350338-01 NY Primary

Addresses

Primary practice location

230 Magnolia Ave
Mount Vernon, NY 10552-3704

Mailing address

230 Magnolia Ave
Mount Vernon, NY 10552-3704
Phone (718) 938-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230911002293 NY Practitioner - Nurse Practitioner 6800250770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

755 N Broadway
Suite 430
Sleepy Hollow, NY 10591-1077
Phone (914) 366-5300

Hospital & facility affiliations

  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F350338-01NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 26, 2025 Accepting new patients
Houston Medical Consulting PC CurrentSince Jun 10, 2023 Accepting new patients

Locations

214 W Houston St
New York, NY 10014
Phone (212) 337-9400

300 Community Dr
Plandome, NY 11030

755 N Broadway
Ste 430
Sleepy Hollow, NY 10591
Phone (914) 366-5300

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: marleneramnanan-jaikaran@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: mjaikaran315266@northwell.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1255056396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAGNOLIA AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523704",
            "telephone_number": "718-938-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MAGNOLIA AVE",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105523704",
            "telephone_number": "718-938-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMNANAN-JAIKARAN",
        "first_name": "MARLENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F350338-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

Verify at the official NPI Registry.